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General NPI Number Information
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NPI Number | 1831526193
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Entity Type | Organization
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Legal Business Name | APEX MEDICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 10/02/2013
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Provider Practice Location Address
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Address Line | 100 HIGHLAND ST STE 103
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City | MILTON
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State | MA
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Zip | 02186-3801
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Country | US
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Telephone | 617-696-9600
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Fax | 617-453-5060
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Provider Business Mailing Address
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Address Line | 100 HIGHLAND ST STE 103
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City | MILTON
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State | MA
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Zip | 02186-3801
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Country | US
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Telephone | 617-696-9600
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Fax | 617-453-5060
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Authorized Official
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Title or Position | MD
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Name | SARASWATHI VENKATA MUPPANA
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Credential |
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Telephone | 718-374-1538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 242209
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 242209
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 242209
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License Number State | MA
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